| NPI | 1114562501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303509) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1901982) |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2026-05-08 |